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General NPI Number Information
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NPI Number | 1669455952
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Entity Type | Individual
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Provider Name | TIMOTHY W STEWART MD
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Gender | Male
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Dates
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Enumeration Date | 11/21/2005
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Last Update Date | 05/14/2021
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Provider Practice Location Address
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Address Line | 364 SE 8TH AVE STE 205
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City | HILLSBORO
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State | OR
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Zip | 97123-4249
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Country | US
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Telephone | 503-681-4145
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Fax | 503-681-4146
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Provider Business Mailing Address
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Address Line | 12215 NW LAIDLAW RD
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City | PORTLAND
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State | OR
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Zip | 97229-2562
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Country | US
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Telephone | 503-804-5845
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Fax | 503-297-6590
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD14489
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License Number State | OR
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